A Cross-sectional Study On Chest Radiograph Interpretation By Medical Interns And First Year Residents

ABSTRACTrnBackground: Accurate interpretation of chest radiographs (CXR) is essential as clinical decisionsrndepend on readings.rnAIM: To assess the ability of medical interns and first year residents of internal medicine,rnemergency medicine and surgery to interpret conventional chest radiographs.rnMATERIALS AND METHODS: Ten conventional chest radiographs were selected that were goodrnradiological examples of emergency and common medical conditions.rnMost were conditions that a first line medical professional should be expected to recognize by thernend of their training. One normal radiograph was included. The radiographs were shown to 49rnmedical interns and 31 first year residents of emergency medicine, surgery and internal medicinernwho were asked to describe their findings and write their most likely diagnosis, certainty aboutrntheir diagnosis.rnThe response for each radiograph was scored on a scale of 0 to 2.rnRESULTS: The median score achieved was 8 of 20 (range 1-14). An increased level of trainingrnwas not associated with overall score (Interns 8.1, EM 1rnstrnyear residents 8.1, IM 1rnyear residentsrn8.2 surgery 1rnstrnyear residents p=0.279). The overall degree of certainty was low. On nornradiograph were more than 35% of participants definite about their answer. The overall certaintyrnof the participants was significantly correlated with the overall score (r=.283 p

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